CELESTIAL SMILE DENTAL ASSOCIATES - MA PC
NPI 1316590839
Dentist - General Practice in Roxbury, MA

Active since July 23, 2019
376 WARREN ST, ROXBURY, MA 02119(781) 774-9885 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Celestial Smile Dental Associates - Ma Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CELESTIAL SMILE DENTAL ASSOCIATES - MA PC (NPI 1316590839) is a healthcare organization registered as a general practice in Roxbury, Massachusetts and active in the NPI registry since July 2019. The organization lists Anthony O Olatunji, Dentist-president, as its authorized official.

NPPES Registry Identity

NPI1316590839
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCELESTIAL SMILE DENTAL ASSOCIATES - MA PC
Location Address376 WARREN STRoxbury, MA 02119-1830
Mailing Address376 Warren StRoxbury, MA 02119-1830 · (781) 774-9885
Organization SubpartNo
Authorized OfficialAnthony O OlatunjiDentist-president · (781) 774-9885
Enumeration DateJuly 23, 2019
NPI 1316590839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
376 WARREN ST, Roxbury, MA 02119

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
376 WARREN ST
ROXBURY, MA 02119
Dentist (General Practice)
376 WARREN ST
BOSTON, MA 02119
Clinic/Center (Physical Therapy)
376 WARREN ST
ROXBURY, MA 02119
Dentist
376 WARREN ST
ROXBURY, MA 02119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Celestial Smile Dental Associates - Ma PC's NPI number?

The NPI number for Celestial Smile Dental Associates - Ma PC is 1316590839. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Celestial Smile Dental Associates - Ma PC located?

Celestial Smile Dental Associates - Ma PC is located at 376 Warren St, Roxbury, MA 02119. The listed phone number is (781) 774-9885.

What is Celestial Smile Dental Associates - Ma PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Celestial Smile Dental Associates - Ma PC was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.